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Grand Rounds 4.44 at GruntDoc!

Thanks to GruntDoc for the effort put into hosting this week's Grand Rounds 4.44. I am grateful that he included my recent post on Amniocentesis is Not Without Risk. Admittedly, it is a long post, but it tells a story. I may be wrong, but I get ...

Cruise - 2 - A Lesson in Group Therapy

The last day of the cruise was overcast, rainy, and cold. For those who had gotten too much sun already, that was probably a blessing! We were not in sight of land and the open water was rougher than it had been – out came the Dramamine. Anyway...

Low hCG and PAPP-A in a Patient with an Autoimmune Disorder

The following comment was left on an old post "Affect of Smoking on PAPP-A Levels in First Trimester." The case is interesting because it reminds us that abnormal maternal serum markers in first trimester might be the result of factors unrelated t...

Norovirus Infections and Pregnancy

Sorry, guys, I have been out of commission over the past week. Between the very unfriendly Norovirus that has been going around (don’t ask for details) and playing catch-up at work following the fun with Noro, I have not had the time or the energ...

Cervical Dysplasia and Cancer in Pregnancy - 7

In our fifth post in this series, we discussed a case of a woman who had a high-grade intraepithelial abnormality (HSIL) found on her intake Pap test and was subsequently diagnosed with minimally invasive cervical cancer (stage 1A1) during her pre...

Well, I returned from my Labor Day break to a very hectic day on Labor and Delivery and a bevy of great questions and comments from our readers. So many of these touch on important issues of general concern that it is worthwhile presenting them a...

Early Amniocentesis

I was discussing the content of my recent posts (April 17, 2007; April 28, 2007) about amniocentesis with one of my patients today. She was trying to decide between the options for aneuploidy screening and actual fetal chromosomal diagnosis, and t...

Thanks to Over!My!Med!Body! - Grand Rounds 3.41

Thanks to the folks at Over!My!Med!Body! for including the final post in my series on Hypertensive Disorders in Pregnancy - 8 (9 and 10!) in this week's Independence Day Grand Rounds 3.41. I know it didn't quite meet with the theme, but for those...

Inauguration Day Thoughts

At the time of the swearing in ceremony for President Barack Obama, I was supposed to be at two different meetings. I didn’t go to either of them. Instead, I went to the OB/GYN Residents’ lounge and turned on the television to watch what will su...

In our last post on this topic, we concluded that imbalances of the fibrinolytic system are commonly found in women with no other obvious explanations for recurrent early pregnancy loss (RPL) and that one of the more consistent findings in this im...

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